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Primary acute gastric ulcer is a distinct clinical entity. It has been completely overshadowed by the more prominent and frequently discussed chronic ulcer. The immediate dangers of acute gastric ulcer are quite different and demand immediate operation. Its history is brief and obscure. The diagnosis is difficult and at times impossible. There are, however, definite suggestive leads in spite of paucity of signs and symptoms.
A brief experience with eight such proved ulcers is given. Our impression, which remains to be confirmed by others, is that:
- 1.(a) Acute gastric ulcers in which there is massive bleeding occur in that extremely vascular part of the stomach, high on the lesser curvature. These do not perforate.
- 2.(b) Those acute gastric ulcers which perforate may occur at any site. They do not bleed and resemble in all respects the prepyloric and duodenal perforating ulcer.
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Received: September 3, 1954
© 1955 Published by Elsevier Inc.